Gina Lisch is a Family in Surprise, Arizona. Gina Lisch practices all healthcare services and medical treatments related to Family. The NPI Number for Gina Lisch is 1336116433. The last update date is 2021-12-09.
Gina Lisch's current location address is 15474 W Greenway Rd, Surprise, Arizona. You can contact this provider via phone number 6235841964 and fax number 6235442359. The mailing address for Gina Lisch is 15474 W Greenway Rd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gina Lisch |
|---|---|
| Address | 15474 W Greenway Rd, Surprise, Arizona |
| Phone Number | 6235841964 |
| Fax Number | 6235442359 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1336116433 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 15474 W Greenway Rd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853744348 |
| Phone Number | 6235841964 |
| Fax Number | 6235442359 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | RN297329NP59 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 341458069GL | OH | SUMMA INSURANCE | |
| 2521462 | OH | -- |
Post Comment/ Review Below
What is the Gina Lisch's 1336116433?
The Gina Lisch's NPI (National Provider Identifier) Number is 1336116433. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Gina Lisch?
The Gina Lisch is situated at 15474 W Greenway Rd, in the city of Surprise, state of AZ, with the zip code 853744348.
What is the area of specialization for Gina Lisch, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gina Lisch is Family, and the corresponding taxonomy code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336116433 to Gina Lisch?
The Gina Lisch received its 1336116433 assignment from the Centers for Medicare & Medicaid Services on 2006-03-07.
When was the information related to Gina Lisch most recently updated or refreshed?
The details pertaining to the Gina Lisch, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-09.